Individual
KERSTEN ANN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 SOUTHBEND DR, WASHINGTON, MO 63090-3719
(636) 231-2700
(636) 231-2750
Mailing address
1561 CAMP ST, WASHINGTON, MO 63090-5016
(636) 399-1147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020022534
MO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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